Insurance Verifier/Financial Counselor
About The Position
The primary function of the insurance verification specialist is to contact health plan carriers to obtain eligibility information ensuring that the most accurate up to date information is verified and entered into patient’s account. Assist patients in understanding their insurance coverage and financial responsibilities. Coordinates payment for all scheduled/elective services required according to payer specifications prior to services rendered. Collects payments, discusses payment arrangements as appropriate, creates estimates, advises patents in person and over the phone on their insurance benefits coverages and in some cases assesses and validates physician orders for appropriateness. Provide excellent customer service to patients regarding insurance inquiries. Manage any insurance related queries from internal and external stakeholders. Prepares reports on insurance verification activities and outcomes for management review. Problem solves insurance errors and research insurances requirements. Gathers all relevant information required to process financial assistance requests. Documents all communication and follow up in the EMR. Pursues and participates in education opportunities to remain current with payer changes in the healthcare industry.
Requirements
- Minimum two years’ experience in hospital admissions or billing setting preferred.
- Well versed in authorization processes for all payers
- Knowledge of medical terminology and insurance policies
- Excellent organization and time management skills along with excellent oral and written communication skills.
- Ability to learn quickly, work independently and collaborative within a team environment
- Ability to maintain good working relationships
- Demonstrates attention to detail and ability to Multitask.
- Ability to work in a demanding environment
- Problem solving skills
- Proficient computer skills
- High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)
Responsibilities
- Contact health plan carriers to obtain eligibility information
- Assist patients in understanding their insurance coverage and financial responsibilities
- Coordinates payment for all scheduled/elective services required according to payer specifications prior to services rendered
- Collects payments, discusses payment arrangements as appropriate, creates estimates, advises patents in person and over the phone on their insurance benefits coverages and in some cases assesses and validates physician orders for appropriateness
- Provide excellent customer service to patients regarding insurance inquiries
- Manage any insurance related queries from internal and external stakeholders
- Prepares reports on insurance verification activities and outcomes for management review
- Problem solves insurance errors and research insurances requirements
- Gathers all relevant information required to process financial assistance requests
- Documents all communication and follow up in the EMR
- Pursues and participates in education opportunities to remain current with payer changes in the healthcare industry
Benefits
- paid time off
- a 401K retirement plan
- medical, dental, and vision coverage
- tuition reimbursement
- many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
